Syncope

This patient presented with syncope. What are the abnormalities on the ECG?

 

 

Answer:[expand title=”Open” swaptitle=”Close”]

•Sinus bradycardia
•RBBB block (note RSR’ V1-V4 with associated repolarisation abnormality and S wave in V6)
•LAHB with marked left axis deviation

These findings raise the possibility of a transient high degree AV block causing the syncope.[/expand]

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